Abstract
Testicular tumors include germ cell tumors, sex cord stromal tumors, and ovarian type epithelial tumors. Testicular mucinous tumors belong to ovarian type epithelial tumors and are extremely rare with only 31 cases reported in literature so far. Among those, mucinous adenocarcinoma constitutes only 9 cases. There are no standard treatment guidelines owing to their rarity. We report a case of primary testicular mucinous adenocarcinoma managed by orchidectomy, chemotherapy, and retroperitoneal lymph node dissection. A 44-year-old gentleman presented with right testicular tumor with infiltration and ulceration of scrotal skin. Tumor markers were within normal limits. Patient underwent orchidectomy with excision of involved scrotal skin. HPE suggested mucinous adenocarcinoma of testis. Patient was then administered chemotherapy but had progression of disease and hence taken up for retroperitoneal, bilateral pelvic, and bilateral inguinal lymph node dissection with revision of spermatic cord. Patient recovered uneventfully and is on regular follow-up 6 months now since surgery. There are no standard guidelines for the management of mucinous adenocarcinoma of testis. It is essential to rule out mucinous carcinoma of gastrointestinal tract metastasizing to testis before labeling as primary mucinous adenocarcinoma of testis. Surgery remains the mainstay of treatment in metastasis confined to retroperitoneal and inguinal lymph nodes. Further studies are needed to identify optimal chemotherapy regimen for metastatic and adjuvant scenarios.
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The authors declare that the data supporting the findings of this study are available within the paper. Should any raw data files be needed in another format they are available from the corresponding author upon reasonable request.
References
Moch H et al (2016) The 2016 WHO classification of tumours of the urinary system and male genital organs-part A: renal, penile, and testicular tumours. Eur Urol 70(1):93–105. https://doi.org/10.1016/j.eururo.2016.02.029
Tanriverdi O, Tarimer ML, Pak CD, Uylas S, Alkan A, Dere Y, Yazici A, Sen S, Sahin H (2020) Management of a patient with primary mucinous testicular adenocarcinoma as a rare case with adjuvant and metastatic sequential treatments. J Oncol Pharm Pract 26(6):1520–1523. https://doi.org/10.1177/1078155220903374
Iuga AC, Mull J, Batra R, Miller W (2011) Mucinous cystadenocarcinoma of the testis: a case report. Hum Pathol 42(9):1343–1347. https://doi.org/10.1016/j.humpath.2010.11.021
Di Franco C, Porru D, Viglio A, Paulli M, Rovereto B (2015) Primary paratesticular mucinous “ovarian-type” adenocarcinoma: a rare case of scrotal tumor in a patient with history of bilateral cryptorchidism. World J Nephrol Urol 4(4):260–263. https://doi.org/10.14740/wjnu235w
Lei H, Lai L, Xu H, Bai S, Shi M, Yang L (2020) Primary mucinous adenocarcinoma of the testis: a case report and review of the literature. https://doi.org/10.21203/rs.3.rs-67135/v1
Taga H, Hosokawa Y, Manabe T, Hagiwara N, Yamada T, Iwata T, Miyashita H (2019) A case of primary testicular mucinous carcinoma. Hinyokika Kiyo Acta Urologica Japonica 65:87–91. https://doi.org/10.14989/ActaUrolJap_65_3_87
Azuma T, Matayoshi Y, Nagase Y (2012, 685946) Primary mucinous adenocarcinoma of the testis. Case Rep Med 2012. https://doi.org/10.1155/2012/685946
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Ramakrishnan, V., Kumar, K., Rathnam, K.K. et al. Primary Testicular Mucinous Adenocarcinoma—a Case Report and Review of Literature. Indian J Surg Oncol 15, 125–128 (2024). https://doi.org/10.1007/s13193-023-01832-7
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DOI: https://doi.org/10.1007/s13193-023-01832-7